Claims Analyst
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3-5years
Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Handle general queries from clients brokers and providers via phone and email.
Receive and sort claims submissions acknowledging receipts and requesting additional documentation where necessary.
Liaise with clients brokers and healthcare providers to obtain supporting documents as requested by the insurer.
Manage delegated IPMI claims emails and maintain an individual turnaround time (TAT) of less than two days for processing assigned claims.
Submit complete claims to the insurer within two days and reassess any denials or partial payments within three days of receipt.
Close processed claims in the Navision system within five days following remittance from the insurer.
Maintain uptodate communication with clients by acknowledging claims within 24 hours and providing feedback or additional requests within three days.
Support customer service and underwriting decisions through timely outreach and accurate claims reporting.
Participate in team learning and development initiatives including continuous learning in advanced Excel and systems optimization.
Perform any other duties as may be assigned by management.
Requirements
- Diploma in Business Administration Insurance Studies or a related field.
- Competency in Microsoft Office tools especially Excel Word and PowerPoint.
- Basic accounting knowledge.
- Previous experience in customer service and/or account management.
- Strong verbal and written communication skills.
- High attention to detail and the ability to manage time and tasks effectively.
- A proactive approach to problemsolving and a commitment to quality service delivery.
Employment Type
Full Time
